Heartwood Avenue Healthcare
State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-04-14 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-05-03 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-09 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-09 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.55
state median 3.94
Weekend staffing gap
−0%
fewer nursing hours on weekends · state median −5%
RN hours / resident / day
0.37
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
56%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $16,988 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-03 | Fine | $8,970 |
| 2024-01-09 | Fine | $8,018 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the BVHC, LLC chain.
Other facilities under the same ownership, with their CMS overall ratings:
- SOCAL POST-ACUTE CARE (WHITTIER, CA) —
- Springs Road Healthcare (Vallejo, CA) —
- KATHERINE HEALTHCARE (SALINAS, CA) —
- OCEANVIEW POST ACUTE (PACIFIC GROVE, CA) —
- River Bend Nursing Center (West Sacramento, CA) —
- Haven Post Acute (San Bernardino, CA) —
- DOUBLE TREE POST ACUTE CARE CENTER (SACRAMENTO, CA) —
- VISTA POST ACUTE (HAYWARD, CA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-07 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-05-07 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-05-07 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-05-07 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-05-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-05-07 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2026-04-14 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-25 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-10-29 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-08-08 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-02-27 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-02-27 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-27 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-27 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-02-27 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2025-02-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-06-04 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-03 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-01-09 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-01-09 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-09 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-01-09 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-01-09 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-02-09 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2023-02-09 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-09 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-09 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-09 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-09 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-09 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-02-09 | F0814 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-02-09 | F0880 | Infection Control Deficiencies | D | not recorded |